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Tag: Financial Return

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Why medical necessity for imaging and labs drives so many claim denials
Understand how payers evaluate medical necessity for imaging and lab testing – and where breakdowns occur – to improve reimbursement and workflow…
Article
Financial Return
Improving denials management at the source
Why validating medical necessity earlier in the workflow matters.
Article
Financial Return
Why downstream denials management fails for medical necessity
Although costly, medical necessity denials are not inevitable. See why.
Article
Financial Return
Preventing medical necessity denials in a strained revenue cycle
Although costly, medical necessity denials are not inevitable. See why.
Insight Brief
Financial Return
Revenue integrity lessons for effective denials management in 2026
Learn how documentation accuracy underpins reimbursement, risk adjustment, and cash flow.
Article
Financial Return
From reactive appeals to upstream validation of medical necessity
In this webinar, our experts break down the most common drivers of medical necessity denials and share practical, actionable strategies to improve…
Webinar
Financial Return
Protecting surgical revenue amid 2026 CMS changes
As the Centers for Medicare & Medicaid Services (CMS) eliminates the Inpatient-Only (IPO) List, preventable surgical denials are expected to rise due…
Webinar
Financial Return
Rethinking revenue strategies in 2026 for faster cash flow
Join our experts as they share real client stories showing how active, precise documentation and standardized terminology strengthen risk adjustment, reduce denials,…
Webinar
Clinical Terminology
IMO Health wins 2025 Best in Business Awards for data analytics and RCM
Learn why our industry-leading clinical terminology and dedication to data quality earned IMO Health two Best in Business Awards from Modern Healthcare.
Article
Financial Return
2026 CPT® code set: 7 key updates for coding, rev cycle, and finance leaders
With more than 400 updates, the 2026 CPT® code set has major operational and reimbursement implications. Here’s what health organizations should focus…
Article
Clinical Terminology
Does your risk adjustment coding strategy go beyond Medicare Advantage?
Learn how context awareness at the point of care helps clinicians surface the right conditions for optimal reimbursement.
Article
Financial Return
Feeling the EOY scaries? Our 2026 Health IT resource guide might help
Prep for 2026 without stress. Explore key Health IT updates, from USCDI V3 to RADV audits, along with other helpful resources. What…
Article
Clinical Terminology

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